Maintenance cognitive stimulation therapy: an economic evaluation within a randomized controlled trial

D'Amico, Francesco, Rehill, Amritpal, Knapp, Martin, Aguirre, Elisa, Donovan, Helen, Hoare, Zoe, Hoe, Juanita ORCID: https://orcid.org/0000-0003-4647-8950, Russell, Ian, Spector, Aimee, Streater, Amy, Whitaker, Christopher, Woods, Robert T. and Orrell, Martin (2015) Maintenance cognitive stimulation therapy: an economic evaluation within a randomized controlled trial. Journal of the American Medical Directors Association, 16 (1). pp. 63-70. ISSN 1525-8610

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Abstract

Background
Cognitive Stimulation Therapy (CST) is effective and cost-effective for people with mild-to-moderate dementia when delivered biweekly over 7 weeks.

Aims
To examine whether longer-term (maintenance) CST is cost-effective when added to usual care.

Methods
Cost-effectiveness analysis within multicenter, single-blind, pragmatic randomized controlled trial; subgroup analysis for people taking acetylcholinesterase inhibitors (ACHEIs). A total of 236 participants with mild-to-moderate dementia received CST for 7 weeks. They were randomized to either weekly maintenance CST added to usual care or usual care alone for 24 weeks.

Results
Although outcome gains were modest over 6 months, maintenance CST appeared cost-effective when looking at self-rated quality of life as primary outcome, and cognition (MMSE) and proxy-rated quality-adjusted life years as secondary outcomes. CST in combination with ACHEIs offered cost-effectiveness gains when outcome was measured as cognition.

Conclusions
Continuation of CST is likely to be cost-effective for people with mild-to-moderate dementia.

Item Type: Article
Additional Information: © 2015 AMDA - The Society for Post-Acute and Long-Term Care Medicine. D’Amico, F. et al. (2015) ‘Maintenance Cognitive Stimulation Therapy: An Economic Evaluation Within a Randomized Controlled Trial’, Journal of the American Medical Directors Association, 16(1), pp. 63–70. doi:10.1016/j.jamda.2014.10.020.
Uncontrolled Keywords: Cognitive stimulation therapy, dementia, cost, cost-effectiveness, randomized controlled trial, acetylcholinesterase inhibitors
Subjects: Medicine and health > Clinical medicine > Dementia
Related URLs:
Depositing User: Juanita Hoe
Date Deposited: 11 Nov 2021 14:53
Last Modified: 23 Nov 2021 20:25
URI: http://repository.uwl.ac.uk/id/eprint/8422

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